Without urgent action, 18 million more women and girls in South Asia could suffer from anaemia by 2030
SAARC, UNICEF and WHO urge governments to take urgent and unified action in South Asia, the region with the highest burden of anaemia among girls and women globally.
KATHMANDU/COLOMBO, 9 July 2025: Anaemia remains one of South Asia’s most persistent health and equity challenges, affecting nearly half of all adolescent girls and women in the region. Now, experts warn that without concerted action, 18 million more girls and women could become anaemic by 2030, adding to the current burden of 259 million.
In response, for the first time, governments from seven South Asian countries have come together to take collective action against anaemia. From 9-11 July, the South Asian Association for Regional Cooperation (SAARC), the Government of Sri Lanka, UNICEF, WHO, and other partners are hosting the Nourishing South Asia | Reducing Anaemia in Adolescent Girls and Women regional conference in Colombo, Sri Lanka. The event brings together over 100 policymakers, researchers, health experts, and development leaders to shape a shared regional framework and country action plans to address this widespread yet overlooked health crisis. The conference will also launch a new South Asia Anaemia Academic Alliance, aimed at rallying scientific leadership and closing research gaps to drive long-term solutions.
“Anaemia remains a public health concern in Sri Lanka, affecting 18.5 per cent of women of reproductive age and 14.6 per cent of children under five. We are stepping up our nutrition programme, particularly in districts with high rates of anaemia, focusing on women and children. The government is committed to expanding these efforts nationwide through collaborative actions across multiple sectors. We are eager to strengthen our partnership with UNICEF, WHO, and other UN agencies. Organising this conference highlights our position as a regional leader in tackling anaemia,” said Dr Harini Amarasuriya, Honourable Prime Minister of Sri Lanka.
Anaemia occurs when the body lacks sufficient healthy red blood cells to carry oxygen, resulting in people feeling weak, tired, and more susceptible to illness. For girls and women, anaemia can make it more challenging to stay in school, work or care for their families, particularly due to heavy periods. Lastly, anaemia during pregnancy poses a risk to both mother and baby.
However, anaemia isn’t just a health problem. It’s a warning sign of deeper issues, such as poor nutrition, infections, and inequality. The poorest, particularly women and children, are most affected, exacerbating the existing crisis of poor health, malnutrition, lost opportunities, and gender inequality.
“In South Asia, our young people and mothers stand at the heart of our demographic and development goals. Ensuring that they are healthy, nourished and empowered is not just a moral imperative, it is a strategic investment in the future of our societies.” said His Excellency, Mr. Md. Md. Golam Sarwar, Secretary General of SAARC.
Although many countries have national policies in place to tackle anaemia, their health systems still face significant challenges that hinder progress. These include inadequate healthcare infrastructure to deliver services, difficulties for healthcare workers in reaching isolated communities, and limited programme scopes that fail to meet the needs of all women and girls, particularly those in the poorest and most marginalised areas. Furthermore, there is a lack of comprehensive data collection to inform effective interventions.
“This is a clarion call for action. When half of all adolescent girls and women in South Asia are anaemic, it’s not only a health issue, but also a signal that systems are failing them. We know what to do and we know how to do it. Now is the time for governments to take the lead and scale up solutions,” said Mr. Sanjay Wijesekera, Regional Director of UNICEF South Asia.
Anaemia doesn’t just affect women and girls. It is a major cause of low birth weight, with South Asia accounting for 40 per cent of the global cases of babies born with low birth weight. Anaemia hampers children’s ability to get enough oxygen, affecting their growth and development. This can lead to fatigue, delayed learning, and increased susceptibility to illness.
“Anaemia is both preventable and treatable. We know the causes: poor nutrition, iron deficiency, infections, chronic diseases, and pregnancy-related complications. A more nuanced and evidence-driven approach is needed. Tackling anaemia is not just about health; it is foundational to the well-being of our women and girls. It is as much an economic and social investment as a health investment,” said Saima Wazed, Regional Director of WHO South-East Asia.
The overall number of anaemia cases has remained largely unchanged for the last two decades. However, progress is possible, as Nepal is demonstrating. By investing in frontline workers who can travel to remote communities, prioritising an equity approach, integrating programmes such as health and nutrition and implementing a multi-sectoral nutrition plan, Nepal has consistently achieved significant results over the past decade.
The prevalence of anaemia in women of reproductive age in Nepal has declined equitably by 7 per cent (41per cent in 2016 to 34 per cent in 2022), with a similar impact even in women belonging to the poorest households. WHO projections forecast that by 2030, anaemic women in Nepal will decline to 27 per cent. The projections estimate that the drop will be the most significant in Nepal’s Karnali province (11 per cent), and the anaemia prevalence will be lowest among women from the poorest households (19 per cent).
India and Pakistan are also seeing promising local results where empowered health workers and data-driven programmes are in place. Bangladesh is linking adolescent nutrition to schools and social services through new integrated platforms. In Sri Lanka, progress is also commendable, with a prevalence rate of 17 per cent among women under 25 years of age as of 2022.
Anaemia is not just a health crisis. It is a marker of inequality. It stifles potential, productivity and entire economies, costing the South Asia region $32.5 billion each year. Yet, the return on investment is undeniable: every $1 invested in maternal anaemia interventions yields an economic return of $9.50.
Ending anaemia takes leadership, but also teamwork. Governments must lead, but communities, health workers, schools, and families all have a role to play. With robust health systems, trained health workers, more innovative use of data, and more inclusive and coordinated action across sectors, girls and women can better fulfil their potential and contribute to stronger communities and more prosperous nations.
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About SAARC
The South Asian Association for Regional Cooperation (SAARC) was established with the signing of the SAARC Charter in Dhaka on 8 December 1985. SAARC comprises of eight Member States: Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka. The Secretariat of the Association was established in Kathmandu on 17 January 1987. The objectives of the Association, as outlined in the SAARC Charter, are to promote the welfare of the peoples of South Asia and improve their quality of life; to accelerate economic growth, social progress, and cultural development in the region; to provide all individuals with the opportunity to live with dignity and reach their full potential; to promote and strengthen collective self-reliance among South Asian countries; to foster mutual trust, understanding, and appreciation of each other's problems; to encourage active collaboration and mutual assistance in economic, social, cultural, technical, and scientific fields; to strengthen cooperation with other developing countries; to enhance cooperation among themselves in international forums on matters of common interest; and to collaborate with international and regional organisations with similar aims and objectives.
About UNICEF
UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. Across more than 190 countries and territories, we work for every child, everywhere, to build a better world for everyone.
UNICEF’s Regional Office for South Asia (ROSA) works with UNICEF Country Offices in Afghanistan, Bangladesh, Bhutan, India, the Maldives, Nepal, Pakistan and Sri Lanka to help to save children’s lives, defend their rights, and help them fulfil their potential. For more information about UNICEF’s work for children in South Asia, visit www.unicef.org/rosa and follow UNICEF ROSA on Instagram, Twitter and Facebook.
About WHO
Dedicated to the well-being of all people and guided by science, the World Health Organization leads and champions global efforts to give everyone, everywhere an equal chance to live a healthy life. Working with 194 Member States across six regions and on the ground in 150+ locations, the WHO team works to improve everyone’s ability to enjoy good health and well-being.
